COVID-19
Hello doctor, I was diagnosed with COVID-19 and started experiencing severe nasal congestion three days after testing positive.
I still have taste (I can distinguish different foods), but I need to be very close to objects to smell them (though my sense of smell is not completely gone).
1.
Does this count as an olfactory and gustatory dysfunction?
2.
Since I work in a field related to fragrances, could this cause permanent damage?
3.
Will the symptoms worsen after the third day?
Thank you for your response.
🙏
LF2, 20~29 year old female. Ask Date: 2023/01/14
Dr. Hong Yuanbin reply Internal Medicine
Hello, 1.
Yes.
2.
Most people will gradually recover; it just takes some time.
3.
This is not certain; each individual's constitution is different.
However, after more than a week, most symptoms should gradually improve.
Thank you for your question.
Reply Date: 2023/01/14
More Info
Hello! Thank you for your questions regarding the issues of taste and smell related to COVID-19. Let's address your concerns one by one.
1. Is this considered a taste and smell disorder?
Yes, the symptoms you are experiencing can be classified as a form of olfactory dysfunction, which is commonly referred to as hyposmia (reduced sense of smell) or anosmia (loss of smell). Given that you can still identify some flavors but need to be very close to the source to detect smells, it seems you are experiencing hyposmia. This is a well-documented symptom of COVID-19 and can occur due to inflammation in the nasal passages, which may be caused by the virus itself. This inflammation can lead to nasal congestion, making it difficult for odor molecules to reach the olfactory receptors in your nose.
2. Will this cause permanent damage, especially since I work with fragrances?
While many individuals recover their sense of smell and taste after a COVID-19 infection, there is a possibility of long-term effects for some people. Research indicates that most individuals experience a gradual return of their olfactory function within weeks to months. However, a small percentage may experience prolonged symptoms, sometimes lasting up to six months or longer. Since you work in a field related to fragrances, it is understandable to be concerned about potential permanent damage. It is crucial to monitor your symptoms and consult with an otolaryngologist (ear, nose, and throat specialist) if your condition does not improve or worsens over time. They may recommend specific therapies or rehabilitation techniques to help restore your sense of smell.
3. Will symptoms worsen after the third day?
Symptoms of COVID-19 can vary widely among individuals. While some people may experience a peak in symptoms around the third to fifth day of infection, others may find that their symptoms stabilize or even improve. It is essential to keep track of your symptoms and seek medical advice if you notice any significant changes, such as increased severity of nasal congestion, difficulty breathing, or other concerning symptoms. If you are experiencing significant nasal congestion, consider using saline nasal sprays or decongestants (if appropriate) to help alleviate the blockage, which may improve your ability to smell.
In addition to these points, it is worth noting that maintaining good hydration, eating a balanced diet, and possibly supplementing with vitamins such as Vitamin C and Omega-3 fatty acids may help reduce inflammation and support recovery. If you have nasal congestion, addressing that with appropriate treatments can also aid in restoring your sense of smell.
Lastly, it is essential to continue following public health guidelines and monitor your health closely during your recovery. If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and support. Take care, and I wish you a smooth recovery!
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